Thank you for your interest in presenting at the Teen Pregnancy & Prevention Partnership's annual conference.

Date: April 12, 2019

Location: In space at Kirkwood Baptist Church in Kirkwood, MO

Submission Deadline: Friday, November 30, 2018 at 5:00 pm.

In both the learning objectives and session description sections, please tell us how your presentation supports inclusive, comprehensive programs or education on adolescent sexual health and addresses the conference theme of “Embracing the Whole Story”. Breakout sessions will be 75 minutes in length, and preference will be given to sessions that use a variety of teaching methods to interact with attendees. You may apply to present during the morning breakout, the afternoon breakout or both.

The committee is open to breakout proposals on all aspects of adolescent sexual health. We strongly encourage proposals that focus on practical, solution-focused application. We are especially interested in breakout presentations on the following topics:

Set-Up: Breakout rooms will be set with chairs classroom style and will also have a laptop with projector. TPPP can provide flipcharts/markers, speakers and internet access upon request. Please let us know if you have accessibility plans for your presentation.

Presenters will be notified of the committee's decision in writing no later than December 28, 2018.

If you have additional questions or would like to explore your breakout proposal with a conference committee member, please contact Kate Barbier, Conference Chair at kbarbier@bhnstl.org and Meg Boyko, TPPP Executive Director at executivedirector@teenpregnancy-mo.org.

Contact Information

Name

*

First Name

Last Name

Title

Organization/Employer

Email

*

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

*

Breakout Title

*

To be used in printed conference materials

Brief Breakout Description:

*

Approximately 250 words to be used in printed conference materials

Breakout Learning Objectives

*

Please share 2 to 3 learning objectives using the format "By the end of this session, participants will be able to ..."

Target Audience

*

Please describe audience in the "other" field if it does not match any of the groups listed.

Childcare Providers/Out of School Professionals

Classroom Educators/Teachers

Health Educators

Nurses/Healthcare Providers

Public Health Professionals

Social Workers

All/General Audience

Other*

*Other Target Audience:

Breakout Content Level

Beginner

Intermediate

Advanced

Anticipated Teaching Methods

Please check all that apply.

Powerpoint presentation

Large/small group activity

Case presentation/discussion

Role play

Video/DVD

*Other

*Other for Teaching Methods

Please describe other if checked above.

Facilitator's Brief Bio:

*

250 words or less to be used in conference printed materials and speaker introduction at the conference.

Facilitator's Resume or CV

Please upload a resume or CV for continuing education credit applications. If you do not have a resume or CV, please contact Meg Boyko at executivedirector@teenpregnancy-mo.org.

MOPD ID

TPPP applies for Missouri Childcare Clock Hours and all presenters will need a MOPD ID for clock hour approval. If you do not already have a MOPD ID, it only takes a minute to complete the secure online form and receive a number by visiting https://www.openinitiative.org/toolbox/MOPDID/MOPDIDRequest.aspx
For more information about MOPD ID, you will find the MOPD ID terms of service at https://www.openinitiative.org/toolbox/MOPDID/MOPDIDTermsofService.pdf

Preferred Breakout Session

*

Please let us know which of the following times you would be able to present.

Morning Breakout (10:45 am to 12:00 pm)

Afternoon Breakout (1:30 pm to 2:45 pm)

Both Morning and Afternoon

Accessibility plans for people with visual/hearing/other considerations.

If you plan on using any of these options or already use them, please let us know so we can inform conference participants.

Use of closed captioning for videos

Microphone or other hearing assistance device

*Other

*Other for Accessibility

Please describe other if checked above.

Are you able to accept a speaker gift?

Yes

Yes, but with some restrictions.

No

Additional Information:

If there is any additional information you would like to provide about your presentation that was not included above or if we can assist with any accommodations to support you, please let us know.